Individual
ADAM ANTHONY DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
453 PINE VALLEY CT, OXFORD, MI 48371-6077
(860) 230-8640
Mailing address
453 PINE VALLEY CT, OXFORD, MI 48371-6077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704316920
MI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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